| NPI | 1346795713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZARIEN ATAVIA COLSON Manager 850-590-2264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12809) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |